Individual
TRACY L HARGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8031 W CENTER RD, SUITE #225, OMAHA, NE 68124-3158
(402) 391-5002
Mailing address
54254 ELROD RD, GLENWOOD, IA 51534-6415
(712) 527-9502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00748
IA
224Z00000X
Occupational Therapy Assistant
712
NE
Other
Enumeration date
08/08/2010
Last updated
08/08/2010
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